Gastric biopsy: egosi, usoro, nke na-eme

Daily gastroenterologists-emeso ndị mmadụ dị iche iche na nsogbu. The isi ọrụ nke dọkịta - ziri ezi nchoputa, ka ọ ghara ida oge, na-enye onye ọrịa a ohere naghachi. Ọtụtụ mgbe ka a na-achọpụta ọrịa ọmụmụ e kenyere a afo biopsy, n'ihi na ọ bụ ihe kasị pụrụ ịdabere na analysis maka enyo enyo oncologic usoro. N'ihi ya, ihe a biopsy oleekwa otú nke a na-amụ?

Biopsy: A nkọwa nke usoro

Okwu ahụ bụ "biopsy" batara na nkà mmụta ọgwụ na Grik asụsụ. Ọ a kpụrụ si abụọ okwu: "ndụ" na "anya." The usoro a dabeere na eziokwu ahụ bụ na ọrịa na-ewe a obere mpempe anụ ahụ ma jiri nlezianya na-enyocha ya cellular mejupụtara na elu magnification. Biopsy dịgasị dị ka usoro na nlele nke ihe onwunwe na ziri ezi na klas. Mgbe ụfọdụ, ihe nwere ike a chọrọ maka histological nyochaa. Nke a pụtara na ọmụmụ nke ihe owuwu ga-anata anụ ahụ sample weere. Na ndị ọzọ - maka cytologic analysis. Nke a pụtara na ọmụmụ ga-Ọdịdị, amụba na ike na-a sample nke mkpụrụ ndụ.

Mgbe ndị mmadụ na-ekwu okwu banyere izi ezi na klas nke usoro, nwere n'uche atọ ụdị aghụghọ:

1. Classical biopsy, nke bụ nke abụọ aha - na search. Nke a na usoro a rụrụ ná mmalite nkebi nke ọrịa, mgbe ọnọdụ nke akpụ ike ahụrụ ọbụna anya.
2. Open biopsy, mgbe ihe maka ọmụmụ iri n'oge ịwa ahụ. Nke a nwere ike ịbụ a neoplasm dum ma ọ bụ ọ bụla nke ya.
3. Biopsy, nke nwere ike rụrụ n'elu nchọpụta nke etuto ahụ, mgbe dọkịta nwere ike ihe kpọmkwem site etuto ahụ na ókè-ala ike anụ ahụ. Biopsy a rụrụ na-endoscope, n'okpuru nlekọta nke US, n'okpuru X-ray akara ma ọ bụ stereotactic usoro.

afo gastrobiopsy

A biopsy nke afo nwere ike ndinọ onye ọrịa na a otutu mkpesa. Ihe mgbaru ọsọ nke mkpachapụ - nweta a iberibe nke gastric mucosa maka analysis. Nchọpụta nke enwetara sample na ihe ziri ezi nke ihe karịrị 95%, na egosi na mgbanwe anụ ahụ na-ekpebi ndị ajọ ma ọ bụ benign ọdịdị nke a ngwọta.

A biopsy nke gastric mucosa nwere ike rụrụ iji a nyocha enweghị visual akara ma ọ bụ jiri gastroscope. Nke a bụ a pụrụ iche na ngwaọrụ na-enye ohere ka ịchịkwa inweta nke sample anya. More mgbagwoju aha nke a ọgwụ usoro - endoscopy, ie esophagogastroduodenoscopy.

Description gastroscope

Gastroscope enye gị ohere ele mgbidi nke na nkọlọ, afo na duodenum. Nke a ọgwụ na-achọpụta ọrịa ngwá nwere n'ụdị a bukwanu ogologo mgbanwe tubing, nke ụlọ na ìhè isi, ngwa anya usoro na-ahụ n'ezie ka ngwá ọrụ iji weghara iberibe ákwà. Dị ka ngwá ọrụ ike ga-eji nkpa nile ọgwụ mma, a loop ma ọ bụ a solenoid retracting ngwaọrụ. The ojiji nke ndị dị otú ahụ akụrụngwa na-eme ka o kwe omume iji nweta a sample si a kpọmkwem ngwa saịtị.

Gastroscopy bụ mgbe niile a na-akakwa mma. The ngwá-aghọ ndị ọzọ ezi na controllable. The oge a usoro bụ a kpọmkwem aha - endoscopic biopsy.

Egosi maka ojiji nke gastric biopsy

A biopsy nwere ike e kenyere ndị na-esonụ mgbe:

• ọmụmụ gosiri maka nchọpụta nke cancer daa ọrịa ma ọ bụ precancerous ọnọdụ;
• analysis pụrụ ịdị mkpa maka nnukwu ma ọ bụ ala ala mgbu;
• dokwuo anya usoro na iwepụ ọnyá enyo nke oncology;
• bụrụ na nke mmebi nke gastric mucosa dokwuo anya akporo ngwa resection;
• Gastric biopsy ekpughe ọnụnọ ma ọ bụ enweghị helicobacter na afọ mgbu;
• a na-amụ na-amata na ọnọdụ onye ọrịa mgbe ịwa ahụ ma ọ bụ ụzarị ọkụ ọgwụ.

Otú ọ dị, n'agbanyeghị na elu arụmọrụ nke usoro nke nchoputa ike emetụta niile ọrịa.

contraindications

Na nchoputa nke ọ bụla ọrịa na dọkịta ga-ahụ na ọ dịghị nsogbu onye ọrịa na-adịghị ekpughe ya ndụ n'ihe ize ndụ. Dabere na ụkpụrụ a, ná nhọpụta nke ọ bụla usoro na-elebara ihe niile kwere omume contraindications. Na ikpe nke a biopsy nke afo bụ:

• a ala nke ujo;
• ọrịa obi na ọrịa obi usoro;
• mbufụt ma ọ bụ ndị ọzọ enweghị nchịkwa Filiks ke pharynx, ogwooro na karị;
• diathesis (hemorrhagic ụdị);
• na-efe efe na nnukwu ogbo;
• ibelata nke na nkọlọ;
• ọnụnọ nke perforations afo mgbidi;
• afo apa ọkụ ọgwụ;
• iche echiche abnormalities
• anabata ọgwụ na-akụnwụ (lidocaine, wdg).

E wezụga ndị doro anya contraindication, dọkịta ga-gaa na akaụntụ psychological nkwadebe nke onye ọrịa maka usoro. Ọ bụrụ na e a akpọ egwu, mgbe ahụ, ọ bụ mma ghara imezu ọmụmụ ihe ahụ.

Olee otú iji kwadebe maka a biopsy

Ọ bụrụ na ị na-ekenye a na afo biopsy, onye ọrịa a ga-kwuru na ụlọ ọgwụ. Nyochawa eduzi usoro na outpatient o kwere omume, ma ọ bụghị ihe amamihe dị na, ebe ọ bụ na ihe banyere nsogbu aka ndidi ga-abụ ihe siri ike.

Tupu mkpachapụ nke ọgwụ na ahụ ike na-arụ ọrụ ga-eme ka n'aka na ọ dịghị contraindications. Mgbe ahụ, onye ọrịa na-kenyere ihe X-ray nke afo.

Onye ọrịa chọrọ nlezianya abstinence si nri na ihe ọṅụṅụ maka 12-15 awa tupu usoro. Gastric biopsy a rụrụ naanị na ihe efu afo ebe ọ bụ na nri uka egbochi ịrụ esịtidem nnyocha gastric mucous na gag mpiaji nwere ike triggered mgbe ndinọ gastroscope tube. Abstinence kwesịrị ịbụ otú ike na na ụbọchị tupu usoro, ọrịa na-adịghị ekwe ka ọbụna ezé gị na iji ịta chịngọm.

The ụkpụrụ nke usoro

N'ihi ya, onye ọrịa na-kenyere a biopsy nke afo. Olee otú usoro? Ọ bụrụ na onye ọrịa na-keyed na ike ruo onwe ya, ọ na-awa a shot nke ogwuura. The onye kwesịrị ịgha ụgha na gị n'aka ekpe na-agbatịnụ. The dọkịta ejiri onu oghere na elu na nkọlọ antiseptik na-amalite itinye endoscope. Na oge a na ọgwụ na ahụ ike emmepe na afo biopsy a rụrụ iji elu ọgwụ na ahụ ike na ngwá, nke pụtara na handset bụ na mkpa, na igwefoto na a ngwaọrụ ewere kacha nta sample size. Ingestion nke a ngwá fọrọ adịghị akpata ahụ erughị ala. The omume nke usoro site a ọkachamara na-edebe ihe ndị ileba anya.

Ịchọpụtacha ihe e dere gastric biopsy

Nyopụta na-adabere na ya pụta si laabu na mụụrụ na analysis dị ka nnyocha cents iji ụzọ dị iche iche nke inweta ihe ọmụma. Ụbọchị nke nnata nke nzaghachi - si ụbọchị atọ.

All rụpụtara na-dabere ekewa n'ime ọtụtụ iche iche:

1. Ezughị ezu analysis. The ego nke ihe onwunwe bụ ezughị na-emepụta a pụrụ ịdabere na ya pụta, ị ga-ekpeghachi usoro.
2. Nkịtị analysis. The ihe onwunwe abụghị ihe anomaly, nchoputa na-adịghị enen.
3. Good N'ihi. Ọnụnọ nke akpụ na-egosi, ya agwa - mma. Na-achọ nlekota na analysis ugboro ugboro mgbe a ụfọdụ oge.
4. Ịza aza N'ihi. Neoplasm mejupụtara cancer mkpụrụ ndụ, kọwaa ya size, nụchara anụcha orunótu kpebisiri ogo.

Nyopụta nwere ike nkejikotara ọmụma banyere ọdịdị nke ọrịa, na-akọwa na steeti nke mkpụrụ ndụ na anụ ahụ nke ahụ ka akụkụ villous epithelial crypts na omimi.

Ebe usoro

Taa, onye ọrịa nwere ikike ịhọrọ. Ọ nwere ike bulie a ọgwụ center, na-enye ya na kacha obi ike. Bi Russia, n'ihi na ihe atụ, ha pụrụ ịghọ a oge a na ọgwụ na ahụ ike nketa "SM-Clinic." Ọ bụ kasị netwọk nke ọgwụ na ahụ ike emmepe, gụnyere 12 multi-inye oru maka ụmụaka na ndị okenye.

Mgbe ị kpọtụrụ ndị ahụ ike center na ndị mmadụ kwesịrị inwe obi ike nke ntozu nke ya anya, ke adianade do, ihe dị mkpa mkpebi bụ nnweta nke oge a na ọgwụ na akụrụngwa. Medical center "cm-Clinic" bụ ike iji na-egbo kasị achọ ahịa. Mbịne na gastroenterologist, ị pụrụ ijide n'aka na a na afo biopsy ga-rụrụ site etozu iji ọhụrụ tolite na ubi nke endoscopy.